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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GEORGIANNA WADE, LMT

Active Sole Proprietor

Specialist · GRESHAM, OR

Registration Details

NPI Number
1558400713
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2007 (19.227308755048 yrs)
Last Updated
Jul 8, 2007
License
7812 (OR)
Sole Proprietor
Yes

Practice Information

Address
343 W POWELL BLVD
GRESHAM, OR, 970307050
Browse OR providers · Browse ZIP 97030
Phone
5036669171
Fax
5036679072
Primary Specialty
Specialist
174400000X

Other Specialist Providers in GRESHAM, OR

Name Credential NPI
MR. JON ALLAN SCHNEPEL P.T. 1619950797
JAMI LEE BAILLIE DPT 1952387599
GARY J DELORIT M.D. 1467520130
GLEN A MILLIGAN M.D. 1144398801
WENDY SUSANNE HUSTAD LMT 1891823977
KIMBERLY ANNE FULLER LMT 1528198306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.